Dudley, Stephanie

Dudley, Stephanie is an individual health care provider with primary practice located at 3900 Jermantown Rd , Fairfax VA 22030-4900. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Dudley, Stephanie can be contacted via phone (703) 910-5006.

Contact Information

Primary practice address
3900 Jermantown Rd Fairfax VA 22030-4900
Phone: (703) 910-5006
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0119007318 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 116429 Texas

Profile Details

NPI number 1740682137
LBN Legal business name Dudley, Stephanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2014
Last updated Nov 20th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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